Individual
MR. GREGORY ALAN HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1856 COLONIAL MEDICAL COURT, SUITE B, VIRGINIA BEACH, VA 23454-3075
(757) 499-9671
Mailing address
1783 UPPER CHELSEA REACH, VIRGINIA BEACH, VA 23454-1124
(757) 481-4088
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
0101025209
VA
207Q00000X
Family Medicine Physician
Primary
0101025209
VA
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
0101025209
VA
261QU0200X
Urgent Care Clinic/Center
0101025209
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27048
SENTARA
VA
01
—
280152
MDIPA
—
01
—
45360
ANTHEM BCBS
VA
01
—
C08384
MEDICARE PTAN
VA
Enumeration date
01/23/2007
Last updated
12/15/2011
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